Description: Provider Excess is an insurance coverage offered to health care provider organizations that have a capitation agreement with a manged care organization. From Reinsurance Section News, November 2007, Issue No. 61.

Description: This article describes the common uses , reinsurance structures , advantages , and risk- based capital repercussions of utilizing a captive to accept health care risks .

Description: This session 62 PD of the Las Vegas Spring Meeting focuses on provider excess reinsurance, which is an excess of loss coverage for providers assuming risk under various forms of managed care arrangements, such as HMOs, PPOs, and Medicare/Medicaid. From Record of Society of Actuaries, Volume 26, No. 3.

Description: this article provides an overview of coverage and claim trends for managed care medical excess of loss insurance and reinsurance programs. it addresses features such as deductible, maximum benefit, inside limits , comprehensive versus non- comprehensive , and claims by diagnosis for commercial , Medicare and Medicaid risk. It also reviews cost containment support programs for catastrophic claims .

Description: Rating agencies, investment bankers and insurance regulators discuss their views on how recent events, such as the economic climate, the war on terrorism, regulatory actions and initiatives and litigation affect health insurers and reinsurers. From the Record of the Society of Actuaries, Volume 28, No. 2, Session 115

Description: Feature article focuses on the regulators who determine risk-based capital or RBC standards applicable to health plans.

Description: The purpose of this SOA-sponsored research was to assemble and analyze a limited large claims database which may serve as a model for expanded inter-company studies of health care benefits in the future. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.

Description: This session is about the current insurance topics such as: Experience rating problems, Long term disability problems, Health Maintenance Organizations Reinsurance.

Description: Presented at June 1996 Spring Meeting. This panel examines current issues involving disability income reinsurance, presented from both the insurer and reinsurer viewpoints, including: recent reinsurer experience, problems facing DI writers, and uses of reinsurance.

Description: Chapter 8 analyzes, in table form, exposure in relation to status, gender, age range, and deductible level. From Group Medical Insurance Large Claims Database Collection and Analysis, M-HB97-1.